Criteria Flashcards
NYHA functional classification for CHF: general
measure of severity of heart failure
Class I - mild
Class II - mild
Class III - moderate
Class IV - severe
NYHA functional classification for CHF: class i
Mild
Patients with cardiac disease but without resulting in limitation of physical activity.
Ordinary physical activity does not cause undue fatigue, palpitation (rapid or pounding heart beat), dyspnea (shortness of breath), or anginal pain (chest pain).
NYHA functional classification for CHF: class ii
mild
Patients with cardiac disease resulting in slight limitation of physical activity.
They are comfortable at rest.
Ordinary physical activity results in fatigue, palpitation, dyspnea, or anginal pain
NYHA functional classification for CHF: class iii
moderate
Patients with cardiac disease resulting in marked limitation of physical activity.
They are comfortable at rest.
Less than ordinary activity causes fatigue, palpitation, dyspnea, or anginal pain.
NYHA functional classification for CHF: class iv
Severe
Patients with cardiac disease resulting in the inability to carry on any physical activity without discomfort.
Symptoms of heart failure or the anginal syndrome may be present even at rest.
If any physical activity is undertaken, discomfort is increased.
What is CHADS2VASC score used for?
used determine the treatment plan with patients that have atrial fibrillation
What do you do for the different CHADS2VASC scores?
0 aspirin or no antithrombotic
1 aspirin or anticoagulation (warfarin)
2+ These patients are typically put on heparin and bridged with warfarin to an INR of 2-3
USPSTF Screening recommendations
REVIEW
when is AAA screening recommended?
one-time screening abdominal US indicated in all men of 65-75 years of age who have ever smoked
TIMI risk score for unstable angina and NSTEMI: general
Estimates mortality for patients with unstable angina and non-ST elevation MI.
TIMI risk score for unstable angina and NSTEMI: factors/scoring
All one point: Age ≥65 ≥3 CAD risk factors --- (Hypertension, hypercholesterolemia, diabetes, family history of CAD, or current smoker) Known CAD --- (stenosis ≥50%) ASA use in past 7 days Severe angina --- (≥2 episodes in 24 hrs) EKG ST changes ≥0.5mm Positive cardiac marker
TIMI risk score for unstable angina and NSTEMI: interpretation
Patients with a score of 0 or 1 point are at lower risk of adverse outcome (death, MI, urgent revascularization) compared to patients with a higher risk score. However, the risk is not zero.
Patients with a higher risk score may require more aggressive medical or procedural intervention.
Duke criteria for infectious endocarditis: general
Diagnostic criteria for endocarditis.
Consists of pathological criteria, major clinical criteria, and minor clinical criteria
Duke criteria for infectious endocarditis: pathological criteria
If either is positive, diagnosis is definite:
Microorganisms in a vegetation
— Demonstrated by culture or histologic examination of a vegetation, a vegetation that has embolized, or an intracardiac abscess specimen.
Pathologic Lesions
— Vegetation or intracardiac abscess confirmed by histologic examination showing active endocarditis.
Duke criteria for infectious endocarditis: major criteria
If both are positive, diagnosis is definite:
Blood cultures positive for endocarditis
— Typical microorganisms consistent with IE from 2 separate blood cultures, microorganisms consistent with IE from persistently positive blood cultures, single positive blood culture for Coxiella burnetii or antiphase I IgG antibody titer >1:800.
Evidence of endocardial involvement
— Echocardiogram positive for IE, abscess, new partial dehiscence of prosthetic valve, new valvular regurgitation. Note: Worsening or changing of pre-existing murmur NOT sufficient.
Duke criteria for infectious endocarditis: minor criteria
If all are positive, diagnosis is definite:
Predisposing heart condition or injection drug use
Fever
Vascular phenomena
— Major arterial emboli, septic pulmonary infarcts, mycotic aneurysm, intracranial hemorrhage, conjunctival hemorrhages, and Janeway’s lesions.
Immunologic phenomena
— Glomerulonephritis, Osler’s nodes, Roth’s spots, and rheumatoid factor.
Microbiological evidence
— Positive blood culture but does not meet a major criterion as noted above or serological evidence of active infection with organism consistent with IE.
Child’s classification to assess severity of liver disease
https://www.2minutemedicine.com/the-child-pugh-score-prognosis-in-chronic-liver-disease-and-cirrhosis-classics-series/
Jones criteria for acute rheumatic fever: general
Diagnostic :
1 Required Criteria and 2 Major Criteria and 0 Minor Criteria
OR
1 Required Criteria and 1 Major Criteria and 2 Minor Criteria
Jones criteria for acute rheumatic fever: required criteria
Evidence of antecedent Strep infection: ASO / Strep antibodies / Strep group A throat culture / Recent scarlet fever / anti-deoxyribonuclease B / anti-hyaluronidase
Jones criteria for acute rheumatic fever: major criteria
Carditis Polyarthritis Chorea Erythema marginatum Subcutaneous Nodules
Jones criteria for acute rheumatic fever: minor criteria
Fever
Arthralgia
Previous rheumatic fever or rheumatic heart disease
Acute phase reactions: ESR / CRP / Leukocytosis
Prolonged PR interval
Light’s criteria for exudative pleural effusion: general
used to determine if pleural fluid is exudative (represents an alteration of the local factors that then precipitates a pleural fluid accumulation)
based on protein parameters and LDH parameters
